Russell L B
Med Care. 1975 Sep;13(9):713-21. doi: 10.1097/00005650-197509000-00001.
This paper examines the effects of inflation on the expenditures made by federal health programs, in total and by functional category. Over the period 1969-74, a total increase of more than 90 per cent in federal dollars was required to support real growth of 44 per cent. Federally financed service programs, like Medicare and Medicaid, and health manpower training programs made particularly large gains, while construction support for health care facilities lost substantially in real terms. Health research and prevention and control programs made more moderate real gains-25 and 29 per cent, respectively, over the period. Comparison of inflation rates in the health sector and in the economy generally suggest that there are important inflationary forces specific to that sector; policies to stem general inflation cannot be expected to solve the problem of health sector inflation.
本文研究了通货膨胀对联邦医疗项目支出的影响，包括总体支出以及按功能类别划分的支出。在1969年至1974年期间，要实现44%的实际增长，联邦资金总额需增加90%以上。由联邦资助的服务项目，如医疗保险和医疗补助，以及卫生人力培训项目取得了特别大的增长，而对医疗保健设施的建设支持在实际价值上大幅下降。在这一时期，健康研究以及预防与控制项目取得了较为适度的实际增长，分别为25%和29%。医疗部门与总体经济的通货膨胀率比较通常表明，该部门存在特定的重要通胀压力；不能指望抑制总体通货膨胀的政策能解决医疗部门的通货膨胀问题。
